RCEME Database Membership Form

First Name:  
Middle Name:  
Last Name:  
Rank:  
Address:  
City:  
Prov/State and Postal Code:  
Country:  
Home Tel:  
Work Tel:  
FAX:  
E-Mail:  
Web Page:  
Trade (MOC): (e.g. 411)  
Trade before (MOC): (e.g. Veh Tech)  
Retired from service: (yes or no)  
Dates of Service: (e.g. 1967-1994)  
Spouse:  
Apprentice: (yes or no)  
Apprentice platoon #:  
Comments: (255 characters max)
Give us a few words about your career (e.g. postings) and present status.
 

 

 

Submit form to:  Larry Aubry
                            105 - 33 Ontario St.
                            Kingston, Ont.
                            K7L 5E3

 

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